Clay Michael Musselman

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA002829

Practice address

164 Nursing Home Cir
Blairsville, GA 30512-3117

Phone

(706) 745-4948

NPI assigned

Nov 9, 2021

Last updated

Nov 9, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1164188694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 MONTVIEW DR",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301432176",
            "telephone_number": "740-586-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 NURSING HOME CIR",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123117",
            "telephone_number": "706-745-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSSELMAN",
        "first_name": "CLAY",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": "OTA002829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OTA002829",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mountain Eye Care, PC
• Mountain HHA, LLC (Mountain Home Health)
• William Mubanda
• Ziyad H Mugharbil, MD
• Jennifer Rose Mullinax, MD
• Laci Jamison Myers, M.D.
• Jacqueline Renee Narczewski, RADIOLOGY TECH
• Carl M Nechtman Jr., M.D.
• Debra Nelson
• Rosemarie A Nelson, RN

• Occupational Therapy Assistant in Blairsville, GA
• Providers in Blairsville, GA by specialty
• Occupational Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.